Add ue prost a/e acrylic cost in Iowa

Add UE prost a/e acrylic · HCPCS L7404

Hospital City Cash price Negotiated range Payers
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $333.10 – $847.64 9
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $333.10 – $847.64 7
UnityPoint Health - Trinity Muscatine Muscatine not published $333.10 – $1,278.75 12
UnityPoint Health - Trinity Bettendorf Bettendorf not published $333.10 – $1,068.29 10
UnityPoint Health - St. Lukes Downtown Sioux City not published $333.10 – $847.64 10
UnityPoint Health - Marshalltown Marshalltown not published $333.10 – $847.64 9
UnityPoint Health - Jones Regional Medical Center Anamosa not published $333.10 – $847.64 6
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $333.10 – $847.64 9
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $333.10 – $847.64 9
UnityPoint Health - Finley Hospital Dubuque not published $333.10 – $847.64 11
UnityPoint Health - Allen Hospital Waterloo not published $333.10 – $847.64 9